This song is about drugs. Heroin addicts wrap a black balloon around their arms in order to inject the drug into their veins. Maybe the guy in the song almost gets caught up in the drug use, or just allows himself to be enveloped in the girl's problems ("I almost fell into that hole in your life"). The boy wonders why he is the only person the girl trusts. He watches her life crumble before his eyes. The "ice from the spoon" refers to the drug that the girl heats on a spoon to prepare it for injection. "Comin' down the world turned over" refers to how she feels as her high wears away. He tries to save her by showing her the love she never felt and that she looks for in heroin. The drug is her "womb," or her shelter from the harsh realities of life. It was this that caused her death, despite the boy's attempts to save her. The lines "And I go on as you grow colder" and "Or are you someone's prayer?" reveals that heroin took her life. Though this is a sad demise, the song ends with hope. "And I'll become what you became to me" shows that the boy has learned what love is. The girl, with all her problems, enveloped the boy with her love and devotion, and this was important to him. He wants to be like that, minus the addiction. The girl taught him about love, an invaluable lesson, despite her untimely death.